Healthcare Provider Details

I. General information

NPI: 1669692018
Provider Name (Legal Business Name): ANNE P SAVAGE PA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1022 MONACO PKWY BUCKLEY AFB, AURORA CO 80014
DENVER CO
80220-4649
US

IV. Provider business mailing address

1022 MONACO PKWY PO BOX 4313 MOORESVILLE, NC, 28117
DENVER CO
80220-4649
US

V. Phone/Fax

Practice location:
  • Phone: 303-355-8213
  • Fax:
Mailing address:
  • Phone: 704-658-7019
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number990
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: